中国医疗设备
中國醫療設備
중국의료설비
CHINA MEDICAL EQUIPMENT
2015年
6期
59-61
,共3页
经阴道彩色多普勒超声%子宫内膜增生过长%子宫内膜息肉%粘膜下肌瘤%子宫内膜癌
經陰道綵色多普勒超聲%子宮內膜增生過長%子宮內膜息肉%粘膜下肌瘤%子宮內膜癌
경음도채색다보륵초성%자궁내막증생과장%자궁내막식육%점막하기류%자궁내막암
trans-vaginal color Doppler ultrasound%endometrial hyperplasia%endometrial polyps%submucous myoma%endometrial carcinoma
目的：探讨经阴道彩色多普勒超声在诊断子宫内膜病变中的应用价值。方法回顾性分析我院收治的167例经手术病理证实的子宫内膜病变患者的经阴道彩色多普勒超声检查资料。结果子宫内膜增生过长及子宫内膜癌患者内膜厚度均>10 mm，最厚达27 mm；子宫内膜癌均伴有宫腔积液；子宫内膜增生过长、子宫内膜息肉、子宫粘膜下肌瘤之间的动脉阻力指数（RI）无显著差异（P>0.05），而这些良性病变与子宫内膜癌患者的RI值有显著差异（P<0.05）。与病理结果相比，经阴道彩色多普勒超声对子宫内膜息肉、子宫粘膜下肌瘤、子宫内膜增生过长、子宫内膜癌的诊断符合率分别为91.3%、95.1%、96.9%和92.0%。结论经阴道彩色多普勒超声对子宫内膜病变具有较高的检出率，且对患者子宫几乎没有损伤，值得在临床上推广。
目的：探討經陰道綵色多普勒超聲在診斷子宮內膜病變中的應用價值。方法迴顧性分析我院收治的167例經手術病理證實的子宮內膜病變患者的經陰道綵色多普勒超聲檢查資料。結果子宮內膜增生過長及子宮內膜癌患者內膜厚度均>10 mm，最厚達27 mm；子宮內膜癌均伴有宮腔積液；子宮內膜增生過長、子宮內膜息肉、子宮粘膜下肌瘤之間的動脈阻力指數（RI）無顯著差異（P>0.05），而這些良性病變與子宮內膜癌患者的RI值有顯著差異（P<0.05）。與病理結果相比，經陰道綵色多普勒超聲對子宮內膜息肉、子宮粘膜下肌瘤、子宮內膜增生過長、子宮內膜癌的診斷符閤率分彆為91.3%、95.1%、96.9%和92.0%。結論經陰道綵色多普勒超聲對子宮內膜病變具有較高的檢齣率，且對患者子宮幾乎沒有損傷，值得在臨床上推廣。
목적：탐토경음도채색다보륵초성재진단자궁내막병변중적응용개치。방법회고성분석아원수치적167례경수술병리증실적자궁내막병변환자적경음도채색다보륵초성검사자료。결과자궁내막증생과장급자궁내막암환자내막후도균>10 mm，최후체27 mm；자궁내막암균반유궁강적액；자궁내막증생과장、자궁내막식육、자궁점막하기류지간적동맥조력지수（RI）무현저차이（P>0.05），이저사량성병변여자궁내막암환자적RI치유현저차이（P<0.05）。여병리결과상비，경음도채색다보륵초성대자궁내막식육、자궁점막하기류、자궁내막증생과장、자궁내막암적진단부합솔분별위91.3%、95.1%、96.9%화92.0%。결론경음도채색다보륵초성대자궁내막병변구유교고적검출솔，차대환자자궁궤호몰유손상，치득재림상상추엄。
ObjectiveTo investigate the effectiveness of application of TVCDS (Trans-Vaginal Color Doppler Ultrasonography) in diagnosis of endometrial lesions.MethodsTVCDS images of 167 patients who were pathologically conifrmed by surgery with endometrial lesions were retrospectively analyzed. ResultsThe average endometrial thickness of patients with endometrial hyperplasia and endometrial cancers was >10 mm with the maximum thickness of 27 mm. All the endometrial carcinoma were accompanied with endometrial effusions. No statistically significant differences were found between the arterial RI (Resistance Index) of endometrial hyperplasia, endometrial polyps and submucous myoma (P>0.05). There were statistically signiifcant differences between the RI of benign lesions and patients with endometrial carcinoma (P<0.05). In contrast with the pathologically-conifrmed results, the accurate diagnostic rate of TVCDS in endometrial polyps, submucous myoma, endometrial hyperplasia and endometrial carcinoma were 91.3%, 95.1%, 96.9% and 92.0% respectively.ConclusionTVCDS demonstrated itself as a diagnostic method with the high detection rate of endometrial lesions and minimal damage to patients’ uteruses, which deserved wider clinical promotion.
